MEDICARE: CAPRIO HAAS STEMLIFE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1871219527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPRIO HAAS STEMLIFE PLLC

Provider Business Mailing Address
First Line	:	8925 W POST RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2433
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8925 W POST RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2433
Country	:	US
Telephone Number	:	201-705-7950
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELO CAPRIO
Credential	:	MD
Telephone Number	:	201-705-7950

Provider Enumeration Date	:	10/14/2022
Last Update Date	:	10/14/2022

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